Population Healthcare Access and Health Status A single County example in North Carolina
Social Systems Include Human Resources, Governance Structures, Work Processes, Technology and Capital Healthcare is a local phenomenon Health literacy is a local characteristic Definition of health is largely cultural Question: Should our communities act locally in response to Federal and State standards through self definition?
Our Regional PartnershipOften regional partnerships may be created:If the politics do not interfere. Possible 8 county collaborative
Few US Citizens are familiar with the moral categories established by Adam Smith. Including those of nature: Propriety, Prudenceand Benevolence and Motive: Self-love, Reason and Sentiment. It is in this treatise that Smith first introduces the metaphor: 'The Invisible Hand' referring to society's self-regulation through channeling ambition to meet society's needs. Weal th High Low Where should the resources go?
2009 Medicaid Eligibility Will now expand greatly under PSACA
There is a great distance between families and they travel farther for care
Travel farther and have fewer choices Co Our counties
Fewer choices for primary AND specialty care Note Specialty Care Deficit
Who are our RAC’s Where are our trauma centers Our RAC So do patients with severe trauma go
Where are they treated? Cross County Collaborative Residents Hospital Referrals
Unusually high hospital discharge rates for conditions that should be treated in ambulatory setting
How confusing can this get?Do we have a solution?
County Health Profile Not so good news Good News Ref NC CATCH 2006
29 A Solution is needed to Manage the Supply Chain—Accessing Care Services based on Patient NeedsPlease do not forget rural America Targeted Patients with highly complex conditions (Top 1%) Case Management Targeted Patients with unstable chronic conditions, barriers to behavioral change and or multiple co-morbidities Extended Care Team Focus Care Coordination: Patient/Family Coaching & Care Coordination Scope, Intensity & Cost of Services Targeted Patients with uncomplicated chronic conditions and preventative care needs Medical Home contract established with population of focus Supported Self Management: Proactive Outreach & Monitoring Services Practice Focus Acute Care Only Informed Self Service : Education and Self Service Instructions Usual Care: Diagnosis & Treatment Services Distribution of Services across the Population 0% 100% Proprietary & Confidential
Untangled Health Thanks You Do not hesitate to contact us for references.